title: Part A to part B rebilling: understanding the rules in a changing environment.
abstract: Under a recent CMS ruling, hospitals that have been denied payment for Medicare Part A services have the option to submit follow-up claims to Medicare Part B for some of these denied services. A CMS proposed rule threatens to remove that option by imposing barriers to the rebilling of claims denied under Part Afor payment under Part B. By commenting on the rule, hospitals may be able to persuade CMS to reject the proposed rule and, instead, adopt a policy similar to that in the ruling. Should CMS decide to finalize the rule, hospitals can use their comments in efforts either to convince Congress to enact statutory changes that would mandate expanded Part B rebilling or to challenge the final rule in litigation.
authors.affiliation: King & Spalding, Washington, D.C., USA. mpolston@kslaw.com
authors.forename: Mark
authors.initials: M
authors.lastname: Polston
mesh_terms: D014487:Centers for Medicare and Medicaid Services, U.S.; D007344:Insurance Claim Reporting / Q000592:standards*; D016344:Medicare Part A / Q000191:economics*; D016345:Medicare Part B / Q000191:economics*; D010350:Patient Credit and Collection / Q000592:standards*; D014481:United States